PS#1: Thickened Liquids in the Management of Oropharyngeal Dysphagia
SA Swallowing Services recommends minimal use of thickened liquids with patients with dysphagia. Decisions for the proper and safe use of thickened liquids to reduce aspiration potential must be made in the context of (1) potential effectiveness determined from instrumental assessments (VFSS or FEES), (2) the presence of and severity of co-morbidities such as documented dehydration, renal disease, respiratory infection and disease, nervous system impairment, reflux and gastroparesis, and potentially how thickened liquids could impact these conditions, (3) potential medication alterations and effectiveness, and (4) the potential impact on the patient’s quality of life.
PS#2: Consideration of GERD When Diagnosing and Treating Oropharyngeal Dysphagia
Gastro-esophageal reflux disorder (GERD) is a common condition—impacting up to 40% of adults (Bajwa et al. 2011). While the diagnosis and treatment of GERD falls outside the standard scope of practice for speech-language pathologists (SLPs), reflux can cause significant respiratory complications and may confound the diagnosis of dysphagia at bedside.